Christiansen, Gary

Christiansen, Gary is an individual health care provider with primary practice located at 2820 Mount Rushmore Rd , Rapid City SD 57701-5462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Christiansen, Gary can be contacted via phone (605) 342-3280.

Contact Information

Primary practice address
2820 Mount Rushmore Rd Rapid City SD 57701-5462
Phone: (605) 342-3280
Fax: (605) 348-0662
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4012 South Dakota

Profile Details

NPI number 1750491270
LBN Legal business name Christiansen, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750491270 NPPES
Wyoming Other 310365 BLUE CROSS BLUE SHIELD
Wyoming MEDICAID 7500340 BLUE CROSS BLUE SHIELD
Wyoming MEDICAID 111516200 BLUE CROSS BLUE SHIELD
Wyoming Other 21395 BLUE CROSS BLUE SHIELD
Wyoming Other 4012 BLUE CROSS BLUE SHIELD
Wyoming Other 0004134 BLUE CROSS BLUE SHIELD
Wyoming Other S4134 BLUE CROSS BLUE SHIELD
Wyoming Other 21395 BLUE CROSS BLUE SHIELD

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